ANSWERS A+ GRADE
Question 1
Different states have different titles for NPs. All of the following are recognized titles for Nurse
Practitioners EXCEPT:
A) Advanced Practice Registered Nurse
B) Advanced Registered Nurse Practitioner
C) Certified Nurse Practitioner
D) Registered Nurse Practitioner Provider
E) Family Nurse Practitioner
Correct Answer: D) Registered Nurse Practitioner Provider
Rationale: While variations exist across states, "Registered Nurse Practitioner Provider" is
not a standard or recognized title for Nurse Practitioners within the broader scope of
advanced practice nursing. Titles like APRN, ARNP, CNP, and specific population-focused
titles (e.g., FNP, PMHNP) are common.
Question 2
Telemedicine is defined as:
A) When care is provided remotely and the provider and patient are not physically present with
each other.
B) When care is provided remotely and the provider and patient are physically present with each
other.
C) Remote care that is challenging and only used for psychiatric patients.
D) In-person care augmented by digital health records.
E) Any use of technology in healthcare.
Correct Answer: A) When care is provided remotely and the provider and patient are not
physically present with each other.
Rationale: Telemedicine involves the delivery of healthcare services from a distance, where
the healthcare provider and the patient are not in the same physical location. It leverages
technology (e.g., video conferencing, phone calls, secure messaging) to facilitate care.
Question 3
An NP must have a DNP to prescribe controlled substances.
A) True
B) False
Correct Answer: B) False
Rationale: The authority for Nurse Practitioners to prescribe controlled substances is
granted by individual state laws and regulations, in conjunction with federal DEA
regulations. It is tied to their licensure as an NP and often requires specific education,
certification, and registration, but not necessarily a Doctor of Nursing Practice (DNP)
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degree. While DNP programs prepare NPs for advanced practice, prescriptive authority is
typically granted upon entry-level NP licensure and certification.
Question 4
APN is an umbrella term used by some states and some nursing associations to identify nurses
with specialized roles in advanced practice. What other titles are considered advanced practice
nursing roles?
A) Nurse Anesthetist
B) Clinical Nurse Specialist
C) Adult-Gerontology Nurse Practitioner
D) A and B only
E) All of the above
Correct Answer: E) All of the above
Rationale: Advanced Practice Nurse (APN) is indeed an umbrella term that encompasses
various specialized roles. These include Certified Registered Nurse Anesthetists (CRNAs),
Clinical Nurse Specialists (CNSs), Certified Nurse-Midwives (CNMs), and all types of
Nurse Practitioners (NPs), such as Adult-Gerontology NPs, Family NPs, Pediatric NPs,
Psychiatric-Mental Health NPs, etc.
Question 5
DNP stands for Doctor of Nursing Profession?
A) True
B) False
Correct Answer: B) False
Rationale: DNP stands for Doctor of Nursing Practice. It is a terminal degree in nursing that
focuses on advanced clinical practice, leadership, and evidence-based healthcare delivery,
rather than primarily research (like a PhD).
Question 6
Health insurers can use genetic information to make enrollment or coverage decisions.
A) True
B) False
Correct Answer: B) False
Rationale: The Genetic Information Nondiscrimination Act (GINA) of 2008 prohibits health
insurers from using genetic information to make enrollment or coverage decisions. It also
prevents employers from using genetic information in employment decisions.
Question 7
What are the main benefits to the NP of NP practice ownership?
A) Decides on the length of patient visits and how the practice is run.
B) Chooses employees and controls quality of care.
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C) May titrate workload to income.
D) A and B only
E) All of the above
Correct Answer: E) All of the above
Rationale: NP practice ownership offers significant benefits, including autonomy in clinical
decision-making, control over practice operations (e.g., scheduling, staffing, quality
improvement), and the ability to manage one's own workload and financial aspects. This
allows NPs to tailor their practice to best meet patient needs and their own professional
goals.
Question 8
At what level of government is the role of the nurse practitioner primarily defined?
A) By the county in which the NP practices.
B) By the state in which the NP practices.
C) By the federal government.
D) By national professional organizations.
E) By individual healthcare institutions.
Correct Answer: B) By the state in which the NP practices.
Rationale: The scope of practice, prescriptive authority, and general role of Nurse
Practitioners are primarily defined and regulated by the Nurse Practice Act and
administrative rules within each individual state or jurisdiction. While federal laws (like
Medicare/Medicaid) impact reimbursement, and national organizations provide guidance,
state law is paramount for defining the NP role.
Question 9
When using a device other than a landline telephone to participate in telemedicine, the device
must comply with _____________ and ______________ requirements.
A) HIPAA; HITECH
B) HIPAA; OSHA
C) HIPAA; DEA
D) HITECH; DEA
E) FCC; FDA
Correct Answer: A) HIPAA; HITECH
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) sets national
standards to protect sensitive patient health information. The Health Information
Technology for Economic and Clinical Health (HITECH) Act further strengthened HIPAA
by expanding its privacy and security rules, especially concerning electronic health
information. Any device used for telemedicine must comply with these federal regulations
to ensure patient data security and privacy.
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Question 10
When speaking to a patient who is not a native English speaker, which of the following is the
preferred interpreter to be used?
A) Family members.
B) Friends of the patient.
C) Professional interpreters experienced in healthcare interpretation.
D) Any bilingual staff member.
E) All of the above, depending on availability.
Correct Answer: C) Professional interpreters experienced in healthcare interpretation.
Rationale: Professional medical interpreters are preferred because they are trained in
medical terminology, ethics, and cultural nuances, ensuring accurate and unbiased
communication between the provider and patient. Family members or friends may lack
objectivity, medical knowledge, or may omit/alter information, potentially compromising
patient care and confidentiality.
Question 11
It is vital for an NP to obtain a family history because:
A) It teaches you to have biases about your care.
B) It solely indicates a need for genetic testing.
C) It guides decisions for diagnostic testing.
D) It helps in understanding potential hereditary risks and informing preventative care strategies.
E) B and C correct.
Correct Answer: D) It helps in understanding potential hereditary risks and informing
preventative care strategies.
Rationale: A thorough family history is crucial for identifying genetic predispositions,
hereditary conditions, and familial patterns of illness. This information helps the NP assess
risk, guide decisions for diagnostic testing, recommend screening, and counsel patients on
preventative care, personalized to their genetic and familial background. While it can
indicate a need for genetic testing (C), its broader benefit lies in understanding hereditary
risks and guiding prevention (D).
Question 12
There are several titles for NPs, and some are based on the state requirement. What does ARNP
stand for?
A) Adult Registered Nurse Practitioner
B) Advanced Registered Nurse Practitioner
C) Acute Registered Nurse Practitioner
D) Advanced Registered Nurse Provider
E) Autonomous Registered Nurse Practitioner